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Colorado rates for HCPCS L5614

Addition to lower extremity, exoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.74 / $1,029.74 / $1,029.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.21 / $1,029.74 / $1,542.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,059.48 / $2,314.03 / $4,201.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.77 / $1,111.77 / $1,200.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.79 / $1,317.79 / $1,317.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.99 / $961.99 / $2,169.09
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.11 / $1,029.74 / $2,574.35
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.11 / $586.11 / $586.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,503.42 / $2,574.35 / $4,077.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.41 / $907.89 / $1,399.02